Full Charge Medical Bookkeeper

We are seeking a detail-oriented and reliable Full Charge Medical Bookkeeper to work in conjunction with our practice administrator to support our growing practice. This is a 1099 contractor position ideal for someone experienced in healthcare accounting, QuickBooks, and inventory tracking. The ideal candidate is organized, proactive, and comfortable working independently. A Full-Charge Medical Bookkeeper is responsible for helping to manage day-to-day and strategic financial operations of a medical practice. This role oversees the complete accounting cycle, ensures accuracy of financial records, supports compliance requirements, and manages both bookkeeping and inventory processes within a healthcare setting.

Key Responsibilities

• Handle full-cycle accounting, including general ledger maintenance, journal entries, and account reconciliations
• Manage accounts payable (AP) and accounts receivable (AR), including patient billing reconciliation and insurance payments
• Perform monthly, quarterly, and year-end closings
• Prepare financial statements, including profit & loss, balance sheets, and cash flow reports
• Reconcile bank accounts, credit cards, and merchant services accounts
• Oversee payroll processing and coordination (or interface with payroll providers)
• Maintain and monitor cash flow, budgets, and expense tracking
• Manage medical inventory, including tracking supplies, usage, and vendor orders
• Ensure proper documentation and organization for audits and tax preparation
• Coordinate with practice administratorCPAs, tax preparers, and external auditors
• Monitor compliance with healthcare financial regulations and internal policies
• Assist with process improvements and implementation of financial systems

Medical-Specific Duties

• Reconcile practice management system reports with accounting records
• Track insurance reimbursements, adjustments, and write-offs
• Monitor patient balances and collections reporting
• Support credentialing-related financial tracking (if applicable)
• Ensure HIPAA-compliant handling of financial data

Qualifications

• 3–5+ years of full-charge bookkeeping experience (medical or healthcare preferred)
• Strong proficiency in QuickBooks Desktop
• Experience with medical billing systems and insurance processes
• Solid understanding of GAAP and accounting best practices
• Experience with inventory tracking and vendor management within QB
• High level of accuracy and attention to detail
• Strong organizational and time management skills
• Ability to work independently and handle confidential information

Preferred Skills

• Experience in a private practice, clinic, or multi-provider setting
• Familiarity with EHR/EMR and practice management systems
• Knowledge of Paycor payroll systems and 1099/W-2 processing
• Advanced Excel skills

Work Environment

• Remote but will require occasional in person work days 
• May require periodic coordination with providers, office staff, and external partners
• Must have and maintain their own computer and necessary equipment- will will provide VPN access.

Compensation

• Competitive salary or hourly/contract rate based on experience
• Potential for flexible schedule depending on arrangement